Eda Gül ÖZCAN, Nazan KAYMAZ, Hakan AYLANÇ, Fatih BATTAL, Şenay KURTULUŞ

4 Yaşında Dehidratasyon ve Metabolik Asidozun Neden Olduğu Deliryum ile Hastaneye Başvuran Olgu

Potansiyel olarak geri dönüşümlü, akut başlangıçlı bir organik beyin sendromu olan deliryum, altta yatan tıbbi durumlarla ilişkili akut beyin işlev bozukluğunun davranışsal bir tezahürüdür. Düzensiz biliş durumları ile karakterize belirgin ve tutarsız zihinsel değişiklikler olarak ortaya çıkar. Enfeksiyonlar, ilaçlar ve toksinler, metabolik bozukluklar ve diğer tıbbi hastalıklar dahil olmak üzere birkaç farklı nedenden kaynaklanabilir. Bu olgu sunumunda, akut metabolik asidoz nedeniyle hiperaktif deliryum gelişen kısa barsak sendromlu 4 yaşında bir kız çocuğunu sunmaktadır.

Anahtar Kelimeler:

Deliryum, dehidratasyon, metabolik asidoz

4-YEAR-OLD CASE WAS ADMITTED TO HOSPITAL WITH DELIRIUM CAUSED BY DEHYDRATION AND METABOLIC ACIDOSIS

Delirium, a potentially reversible, acute-onset organic brain syndrome, is a behavioral manifestation of acute brain dysfunction associated with underlying medical conditions. It presents as marked and inconsistent mental changes characterized by dysregulated states of focus and cognition. It can be caused by several different causes, including infections, drugs, toxins, metabolic disorders, and a number of other medical conditions. This case report presents a 4-year-old girl with short bowel syndrome, who developed hyperactive delirium due to acute metabolic acidosis.

Keywords:

Delirium, dehydration, metabolic acidosis,

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Martini DR. Delirium in the pediatric emergency department. Clinical Pediatric Emergency Medicine. 2004;5(3):173-80.
Schieveld JNM, Leentjens AFG. Delirium in severely ill young children in the pediatric intensive care unit (PICU). Journal of the American Academy of Child & Adolescent Psychiatry. 2005;44(4):392-4.
Patel AK, Bell MJ, Traube C. Delirium in pediatric critical care. Pediatric Clinics of North America. 2017:64(5):1117-32.
Aldemir M, Ozen S, Kara IH, Sir A, Bac B. Predisposing factors for delirium in the surgical intensive care unit. Critical Care. 2001;5(5):265-70.
Pisani MA. Characteristics associated with delirium in older patients in a medical intensive care unit. Archives of Internal Medicine. 2007;167(15):1629-34.
Turkel SB, Tavare CJ. Delirium in children and adolescents. The Journal of Neuropsychiatry and Clinical Neurosciences. 2003;15(4):431-5.
Traube C, Silver G, Gerber L, Kaur S,Mauer EA, Kerson A et al. Delirium and mortality in critically ill children: epidemiology and outcomes of pediatric delirium. Critical Care Medicine. 2017;45(5):891-8.